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Stroke: Speech and Language Problems

Topic Overview

Some people have speech and language problems after a
stroke. These problems may involve any or all aspects
of language use, such as speaking, reading, writing, and understanding the
spoken word. Speech and language problems (aphasia) usually occur when a stroke
affects the right side of the body. Trouble communicating can be very
frustrating. When you talk to someone who has had a stroke, be patient,
understanding, and supportive.

The following are tips for helping
someone who has speech and language problems:

Speak directly to him or her—not to a companion,
even if that person is an interpreter—and speak in second, not third, person: "How
are you feeling today?"

Maintain eye contact.

Speak
slowly and simply in a normal tone of voice. People who have speech and
language problems are not deaf.

Give him or her adequate time to
respond.

Listen carefully.

Focus on what the person is
saying, not how he or she is saying it.

Don't fill in with a word
or sentence unless you are asked.

Ask the person to rephrase or
repeat something if you do not understand.

Put the person—not the
impairment—first.

Limit conversations to small
groups or one on one. Large group conversations may be difficult for your loved
one to follow.

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